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149 Canter Circle Lot 96 & 94AUTHOR TION NO: 11 6 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permitteo S'y `' , �j p //1 P.O. Box 848 Name: �� �' �` �� �i �_ Fu/1F�} Mocksville, NC 27028 Subdivision Name: r rr..r.� �•t .�' i Phone #: 704-634-8760 r'f Directions to property: �% 1r� —'� /fz'�/ Section: Lot: / AUTHORIZATION FOR WASTEWATER Tax Office PIN:#�'fr�t SYSTEM CONSTRUCTION Road Name: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***N0T1UE***'1'H1S AU1'HUKILA'11UN PUK WASTEWA ER CONSTKUCIIUN J�.-s f7 ' '�• IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTIT SPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT j IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION `Permitte's Name:" �'.'»;✓ ? 1 t,�q. c 1�,, �1 r;. Directions to property: Subdivision Name' dN'"-=`► s f r� �, :• Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#% Road Name: **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the constructionfmstallation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ._ • �" ; i ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ' {;t. i \' a..; ' J 3 ✓ "`t. PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH"SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS IS # BATHS_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE LOT SIZE TYPE WATER SUPPLY # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE 1Cd n GAL. PUMP TANK GAL. TRENCH WIDTH •7 ROCK DEPTH ' / LINEAR FT. REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 -' 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT YSTE INST LLED Y: v r AUTHORIZATION NO. OPERATION PERMIT BY: DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) APPLICATION FO SITE EVALUATIONAMPROVEMENT P - n Davie County Health Department D U Environmental Health Section P.O. Box 848 Nt}V 13 1997 Mocksville, NC 27028 (704) 634-8760 J, ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed L' Mailing Address ` v City/State/Zip n_'--1� •SLS t `�'� r`f • C--%�"li 2. Name on Permit/ATC if Different than Above Mailing Address Contact Person Home Phonep'6/G�'" Business Phone / 7 d —U ly 7 City/State/Zip 3. Application For: [,ate Evaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: louse [ ] Mobile Home [ ] Business [ ] Industry (] Other 5. If Residence: # People # Bedrooms_ # Bathrooms [ 016ishwasher [ ] Garbage Disposal [alWashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [vl'6ounty/City [ ] Well (] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ ] No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT **�'W OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: + '1�q�'11T�X 1G'`d WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: Property Address: Road1`�ame� i ► t e— �' I t, --� , d City/Zip4hal '4 If in Subdivision rovide information, as follows: h I C kl- ILA ©ti jaAi Name: � Section: Lot #: ; This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the D� by Lhhnj `= —1 _X^ `1 ' 1 SIG Revised DCHD (06-96) Health Department to enter upon above described property located in Davie County and owned to cWuct all testing procedVhs as necessary to determine the site suitability. THIS ,. :A MAY 13E USED FOR DRAIVINC7 YOUR SITE PLAN: t, 0 it fj Y L. (� 40 J 'g-l.� so l /i '1..�4�� :" • /:w ry. fit. �,. � . CA oo C. � �-� •fir- �,,,,.� r_ /�;� ,f _ �. �^ ltd � 1/ ` % \ �// �• �. A F �R�.,� .+�.M%� xf � J { 7.9- 11., DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION ----/—LOT Soil/Site Evaluation APPLICANT'S NAME �%/`��D��� / DATE EVALUATED /—l.2`� PROPOSED FACILITY PROPERTY SIZE 00 SUBDIVISION ��/l�✓ ROAD NAME / C•�� l Water Supply: On -Site Well Community Evaluation By: Auger Boring ✓ Pit Public L---" Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence - Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: K " LONG-TERM ACCEPTANCE RATE: c REMARKS: LEGEND DCHD (01-90) Landscape Position EVALUATION BY: �; J OTHER(S) PRESENT: R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 ■ ■■MME■ Moo■■■ ■EM■■■ ■E■■M■ soon ■ME■ ■ME■ ■EE■ ■ME■ ■EM■ NONE ■EM■ ■EM■ ■■N■ ■ ■ ■■ ■ ■ ■■■EM■ EMPRIM Monson I1■■Mm■ 11■■M■■ IIm■Mm■ MENN■■ iN■MMM■ ■M■ME■ IN■■M■■ ■ N ■■M■■ ■ENE■ ■■■E■ ■■M■■ ■ ■E■■■ ■ENE■ ■E■E■E■ ■E■EME■ ■EENM■■ MEMO■■■ ■■■M■M■ ■EM■■E■ ■E■ME■■ ■EMMEM■ ■■■MEM■ ■EEM■■■ ■■EMM■■ ■ IMMEM■ ■EMM■M■ Mons■■■ ■■■EME■ ■■MMEM■ ■■■MEM■ ■■■EM■■ ■■mons ■E■E■ ■EM■■ ■■■n■ ■■N■■ ■ENE■ ■E■E■ ■ENE■ ■■N■■ ■ ■ ■ r / S c, R SITE EVALUATION/IMPROVEMENT PERMIT & ATC !� Davie County Environmental Health 2008 P.O. Box 848/210 Hospital Street ic �� �0� r2Q� C' u 61t Mocksville, NC 27028 ENVIRo1�MEt�Zr� 1N (336)751-8760/ Fax (336)751-8786 Q5 G -t S,e pf aq ;000 Olt\I[C pplicatio ite Evaluation/Improvement Permit ❑ Authorization To Construct(ATC) ❑ Both e of Application: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed G L-L-;� 5 Contact Person S' 011 L Ut Billing Address SU IC 1IJG C V f C w ', Home Phone 336,' 65 5 - ! 7 ;k - Billing f �'1L> L jl S J i L( l= �- 70 A� Business Phone j 3G Name on Permit/ATC if Different than Above Mailine Address City/State/Zi [/w-4L,Xf1t5 y/Iyr • Ly -f 6A/ ('/t1y1:eK I If the answer to any of the following ques ions is "yes", supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes NNo Does the site contain jurisdictional wetlands? ❑Yes)RNo Are there any easements or right-of-ways on the site? ❑Yes IgNo Is the site subject to approval by another public agency? ❑Yes VNo Will wastewater other than domestic sewage be generated? ❑Yes t1 No IF RESIDENCE FILL OUT THE BOX BELOW # People ' # Bedrooms _ # Bathrooms Garden Tub/Whirlpool ❑Yes XNo Basement: iOYes ❑No Basement Plumbing: ❑Yes KNo IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: XConventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: X County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes A No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and riles. I understand that I am responsilile for the proper identification and labeling of property lines and corners and locating and flagging or staking the hM{'J1{�1�u' e/facil roposed well location and the location of any other amenities. V - Site Revisit Charge Property owner's or owner's legal ' resentative signature Date(s): Client Notification Date: Date fU s�' EHS: �y Sign given ❑Yes ❑No Revised 11/06 Account # 1310 Invoice # JOitt' -C GoMAPS - Davie County NC Public Access Page 1 6f 1 http://maps.co.davic.nc.us/GoMaps/map/print.cfm?CFID=7633&CFTOKEN=93451868 8/10/07 6:42:10 PM Lof ,94 Banter Circle �•''r �'�� fy �; J�yF` ~',•,tit .... � .v � ..-, - �� , y � r l o t`r i t +s •.t. r� "n Friday, Augus't� ti o;y' 36 t. E03 Page 1 6f 1 http://maps.co.davic.nc.us/GoMaps/map/print.cfm?CFID=7633&CFTOKEN=93451868 8/10/07 6:42:10 PM FACTORS 1 2 3 ` Landscape position DAVIE COUNTY HEALTH DEPARTMENT L L, Environmental Health Section r-1 p (o Soil/Site Evaluation HORIZON I DEPTH APP .I T UON Tax PIN/EH #: 4798-00BERTY INFORMATION Billed To: Glen Stanley Subdivision Info: Oakland Heights Lot # 94 Reference Name: Consistence Location/Address: Canter Circle -27028 Proposed Facility: Residence Property Size: 0.589 Date Evaluated: J0 Structure S$K S S Water Supply: On -Site Well �Community Public 3EW Evaluation By: Auger Boring Pit Cut L0 - YE FACTORS 1 2 3 4 5 6 7 Landscape position L L L, Slope % r-1 p (o HORIZON I DEPTH -- J -10 - )7 0--7 Texture group L S(. L 6 G L S C L Consistence y'--; Q F, Structure S$K S S Mineralogy '16 60* 3EW HORIZON II DEPTH fS L0 - YE S ' Texture group 5 L SG sc Consistence Vfl 17 Ni ; Structure U- sftifty- Mineralogy m Njed HORIZON III DEPTH Texture group Consistence LAIt Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION u LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION BY: 96 1V0.`1 IOYLS OTHER(S) PRESENT:"I lGl/1 V ,�3uat� f LEGEND Landscape Position R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm YYgt . NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic ,Structure SC - Single grain M - Massive CR -Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - Qal/davM2 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■N■■■■ '■■■■■■ MEMO■■ ■■MONS ■■■N■■ ■■■■■■■■■■MMM■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MM■■■■■M■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■MMM■■■■■�:��� s�■����\■■■■■■■M■■■■■■■■■■■■■■N■■ ■■■■■■■■■■■■■■■N■■■■MN■■■■■■■■■■■�■■��MM���■■M■■■■■■■M■■■■M■■■NOM■■ ■■■■MMM■■■■■MMS■■SM■■■■■■■■■■■■■■■O■lVJ■■\►\■S■■■■■■■■■■N■■■■■■■■MS■ ■■■■■■■■■■■■■SSS■■■■S■S■■■■SIS■■■■■■■■■■■■\1■■■■M■OO■■■■■■■O■■■S■■■■ ■■■■■■N■■N■■■■■■■■■S■■■■■■■LIMO■■■■■■■■■■■1\■■■■■N■■■MS■■■■M■M■■■S■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■tl■■■■ ■■■■■■■/11\■■SMO■■■■■■O■■■■■M■MN■■ ■■■■■■■■■■■■■■■■■■■■S■■■■■■11■■■SIS■■■■■■\'\1■■■■■■■■■■■■■S■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■!!11111/■■■■■■O■■■■MS■��■M■■■■■■■■■■■O■■■■■■■■ ■N■MSO■■■■■■■N■■■■■■MO■■■llJllt■■■S■■■■■■■■M■.h.�■■■■SS■■■■■O■O■■■■■■M■ ■N■■■■■■■■■■■■■■MSO■■■■Oi:�N■�IL�J■■■■■■■■■■■l�\i■■■■■S■■■SSO■■N■■■■S■ ■■■■■■■■■■■■■■N■■■■■■■■■■'t■■■■■■ i■NCS■■■■■■■■■■■■■■■■■■■■■■■S■N■ ■■■■■■■■■■■■■■■■■■■■■■■■■::■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■SSM■■■ ■■■■SON■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■MSM■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ DAVIECOUNTY HEALTH DEPARTMENT Environmental Health Section P.O. Box 848/210 Hospital Street Courier 409-40-06 Mocksville, NC 27028 Phone4:(336)751-8760 Fax#: (336) 751-8786 November 4, 2008 Glen Stanley 450 Ridgeview Drive Mocksville, NC 27028 Re: Site Evaluation Tax PIN: 4798-96-5662 Dear Mr. Freeman As requested, Robert M. Nations, RS; Environmental Health Specialist with this office on October 6, 2008, evaluated the above -referenced property at the site designated on the plat/site plan that accompanied your improvement permit application for a 2 to 3 bedroom residence. The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 and related statutes and Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rule .1900 and related rules. Based on the criteria set out in 15A, Subchapter 18A, of the North Carolina Administrative Code, Rules .1940 through .1948, the evaluation indicated that the site is UNSUITABLE for a ground absorption sewage system. Therefore, your request for an improvement permit is DENIED. A copy of the site evaluation is enclosed. The site is unsuitable based on the following: Rule .1940 Topography and Landscape Position Rule .1941 Soil Characteristics Rule .1942 Soil Wetness Rule .1945 Available Space These severe soil or site limitations could cause premature system failure, leading to the discharge of untreated sewage on the ground surface, in surface waters, directly into ground water or inside your structure. The site evaluation included consideration of possible site modifications, and modified, innovative or alternative systems. However, this office has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off-site to additional property. For the reasons set out above, the property is currently classified UNSUITABLE, and an improvement permit shall not be issued for this site in accordance with Rule .1948(c). However, the site classified as UNSUITABLE may be reclassified as PROVIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. You have a right to an informal review of this decision. You may request an informal review by the environmental health supervisor with this office. You may also request an informal review by the N.C. Department of Environment and Natural Resources regional soil specialist. A request for informal review must be made in writing to the Davie County Health Department, Environmental Health Section. You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Center, Raleigh, N.C. 27699-6714. To get a copy of a petition form, you may write the Office of Administrative Hearings or call the office at (919) 733-0926 or from the OAH web site at www.ncoah.com/forms.shtml. The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 150-B-23 and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is November 4, 2008. Meeting the 30 day deadline is critical to your right to a formal appeal. Beginning a formal appeal within 30 days will not interfere with any informal review that you might request. Do not wait for the outcome of any informal review if you wish to file a formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (N.C. General Statute 150B-23) to send a copy of your petition to the North Carolina Department of Environment and Natural Resources. Send the copy to: Office of General Counsel, N.C. Department of Environment and Natural Resources, 1601 Mail Service Center, Raleigh, N.C. 27699-1601. Do NOT send the copy of the petition to Davie County Health Department. Sending a copy of your petition to Davie County Health Department will NOT satisfy the legal requirements in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, NCDENR. Please call or write this office if you have any questions or need any additional assistance, as follows: Telephone number: (336) 751-8760 Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 Sincer ly, Robert M. Nations, RS Environmental Health Specialist Enclosure(s): Soil -Site Report Rule .1948 Invoice LAWS AND RULES FOR SEWAGE TREATMENT AND DISPOSAL SYSTEMS 15A NCAC 18A.1900 Rule .1948 .1948 SITE CLASSIFICATION (a) Sites classified as SUITABLE may be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules. A suitable classification generally indicates soil and site conditions favorable for the operation of a ground absorption sewage treatment and disposal system or have slight limitations that are readily overcome by proper design and installation. (b) Sites classified as PROVISIONALLY SUITABLE may be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules but have moderate limitations. Sites classified Provisionally Suitable require some modifications and careful planning, design, and installation in order for a ground absorption sewage treatment and disposal system to function satisfactorily. (c) Sites classified UNSUITABLE have severe limitations for the installation and use of a properly functioning ground absorption sewage treatment and disposal system. An improvement permit shall not be issued for a site which is classified as UNSUITABLE. However, where a site is UNSUITABLE, it may be reclassified PROVISIONALLY SUITABLE if a special investigation indicates that a modified or alternative system can be installed in accordance with Rules .1956 or .1957 or this Section. (d) A site classified as UNSUITABLE may be used for a ground absorption sewage treatment and disposal system specifically identified in Rules .1955, .1956 or .1957 of this Section or a system approved under Rule .1969 if written documentation, including engineering, hydrogeologic, geologic or soil studies, indicates to the local health department that the proposed system can be expected to function satisfactorily. Such sites shall be reclassified as PROVISIONALLY SUITABLE if the local health department determines that the substantiating data indicate that: (1) a ground absorption system can be installed so that the effluent will be non-pathogenic, non-infectious, non-toxic, and non -hazardous; (2) the effluent will not contaminate groundwater or surface water; and (3) the effluent will not be exposed on the ground surface or be discharged to surface waters where it could come in contact with people, animals, or vectors. The State shall review the substantiating data if requested by the local health department. History Note: Authority G.S. 130A -335(e); Eff. July 1 1982 Amended Eff. April 1, 1993; January 1, 1990.